Menstrual volume is small, with black discharge, what is the reason?

Patient's question:

I am 45 years old this year. My menstrual cycle has been irregular since last year, and it also causes severe abdominal pain when I have my period. Sometimes it only comes a little bit after a month, and the amount is very light, with dark discharge. What is going on? Everyone says that at 45, you are approaching menopause. Am I already preparing to go through menopause?

Doctor's answer:

Women with a low menstrual flow and dark discharge are generally caused by blood and qi stagnation, which is known as "uterine cold" in traditional Chinese medicine. This condition may also be due to a decrease in estrogen levels, leading to menopause. In such cases, oral medications such as Black-Bone Chicken White Phoenix Pill, Qi and Blood Harmony Capsules, and Xiaoyao Pills can be used for regulation and treatment. It is also recommended to consume more foods that boost qi and nourish the body.
Honey ginger tea can help promote blood circulation, resolve stagnation, unblock meridians, and enhance blood flow. Additionally, it is important to take precautions against cold exposure and avoid getting chilled.

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